omaha hockey club high school club hockey education foundation ...
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Eligibility Criteria
Applicant must be a member in good standing of the Omaha Hockey Club High School Club Hockey League Applicant must be a senior attending an accredited post-secondary institution Applicant must be attending the accredited post-secondary institution on a full time status (as outlined by the institutions full time requirements). Applicant must submit a two page essay (1.5 spaced) outlining "How Ice Hockey Has Had An Impact In My Life." Applications are due no later than March 1st, 2016. Applications are to be turned into the OHC Administrative Office or mailed to: OHC High School Club Hockey Education Foundation Attention: Grant Administrator 15127 Lake Street Omaha, NE 68116
A completed application will include the following documents: 1. Education Foundation Grand Application 2. Essay 3. Academic Summary as outlined on the application 4. Official School Transcripts 5. Any additional materials you feel will support your application 6. Minimum 3 Recommendations Employer Coach Personal Educational Instructor
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Personal Data: Name: Present Address:
Social Security #: Street
City
State
Zip
Telephone # Residence Permanent Address:
Street
Work City
State
Zip
Telephone # Residence
Work
Employment Data: Present Employer: Address:
Phone #
Position/Duties: Date Started: Any prior work history you wish to add:
Please Respond To The Following: (If additional space is needed to answer, please finish on the back of this page.) High School Scholastic Achievements (Grades, Honors, ETC.):
High School Extra Curricular Activities:
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Education and Career Goals/Plans:
Past Participation in Hockey/Future Participation Goals:
What other financial assistance &/or scholarships do you expect to receive:
What is your parent’s annual income: Give the names and ages of all of your siblings. Do any of them play hockey, and if so, which one(s)? Do any of them currently attend college or plan to attend college?
Community Involvement:
Special Interests:
Educational Data: Name and address of High School:
Class Size:
Class Rank:
Upper 1/3 Middle 1/3 Lower 1/3
Grade Point Avg:
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Honors Achieved:
SAT Score:
ACT Score:
Name of High School Principal:
Signature:
Name of Guidance Counselor:
Signature:
Course of Study in High School: General Preparatory Date of Graduation:
General /
Business
Technical
/
Are you presently applying for admission to a College/University? YES or NO (circle one) If yes, Where?
Have you been accepted? Describe course of study or Curriculum desired:
Please list three (3) references you would allow us to contact in regard to your grant application: Name
Address
Ph#
Position/Title
Yrs Known
1. 2. 3. Please attach a complete academic summary, official school transcripts and any other materials which you would want the committee to consider with your grant application. Materials will not be returned.
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Employer Recommendation Applicant’s Name: Supervisor Number of hours per day applicant is working/has worked under your supervision Describe his/her duties
Please evaluate the applicant in the following areas with the following scale. Excellent = 1 1. 2. 3. 4. 5. 6.
Above Average = 2
Average = 3
Self Motivation Cooperation Dependability Ability to work with others Leadership potential Responsibility
Below Average = 4
6. Work Ethic 7. Initiative 8. Completes projects fully, properly and in a timely manner 9. Responsibility 10. Honesty
Remarks
I would/would not (circle one) hire applicant again Signature Business Name Address Phone Number
Title
Date
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Personal Recommendation Applicant’s Name: Your Name:
Address:
Phone # How long have you known the applicant? How did you meet him/her?
Have you worked with him/her in any capacity; such as Scouts, Church, Yard/Snow, Babysitting, ETC.? Yes No (circle one). Explain if yes:
Please evaluate the applicant in the following areas with the following scale. Excellent = 1 1. 2. 3. 4. 5. 6.
Above Average = 2
Self Motivation Creativity Cooperation Dependability Responsibility Family Relationships
Average = 3
7. Honesty 8. Loyalty 9. Getting along with others 10. Leadership potential 11. Work Ethic 12. Attitude
Remarks
Signature
Below Average = 4
Date
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Instructor Recommendation Applicant’s Name: Instructor’s Name:
School:
Phone #
Course(s)
Grade Level
# Of Hours per day
Ranking in class (scale of 1-10) Please evaluate the applicant in the following areas with the following scale. Excellent = 1 1. 2. 3. 4. 5. 6. 7. 8.
Above Average = 2
Self Motivation Scholastic Achievement Creativity Cooperation Dependability Responsibility Attitude Initiative
Average = 3
9. Extracurricular involvement 10. Work Ethic 11. Getting along with others 12. Leadership potential 13. Honesty 14. Completes assignments fully, properly and on time
Remarks
Signature
Below Average = 4
Date
Eligibility Criteria
Applicant must be a member in good standing of the Omaha Hockey Club High School Club Hockey League Applicant must be a senior attending an accredited post-secondary institution Applicant must be attending the accredited post-secondary institution on a full time status (as outlined by the institutions full time requirements). Applicant must submit a two page essay (1.5 spaced) outlining "How Ice Hockey Has Had An Impact In My Life." Applications are due no later than March 1st, 2016. Applications are to be turned into the OHC Administrative Office or mailed to: OHC High School Club Hockey Education Foundation Attention: Grant Administrator 15127 Lake Street Omaha, NE 68116
A completed application will include the following documents: 1. Education Foundation Grand Application 2. Essay 3. Academic Summary as outlined on the application 4. Official School Transcripts 5. Any additional materials you feel will support your application 6. Minimum 3 Recommendations Employer Coach Personal Educational Instructor
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Personal Data: Name: Present Address:
Social Security #: Street
City
State
Zip
Telephone # Residence Permanent Address:
Street
Work City
State
Zip
Telephone # Residence
Work
Employment Data: Present Employer: Address:
Phone #
Position/Duties: Date Started: Any prior work history you wish to add:
Please Respond To The Following: (If additional space is needed to answer, please finish on the back of this page.) High School Scholastic Achievements (Grades, Honors, ETC.):
High School Extra Curricular Activities:
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Education and Career Goals/Plans:
Past Participation in Hockey/Future Participation Goals:
What other financial assistance &/or scholarships do you expect to receive:
What is your parent’s annual income: Give the names and ages of all of your siblings. Do any of them play hockey, and if so, which one(s)? Do any of them currently attend college or plan to attend college?
Community Involvement:
Special Interests:
Educational Data: Name and address of High School:
Class Size:
Class Rank:
Upper 1/3 Middle 1/3 Lower 1/3
Grade Point Avg:
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Honors Achieved:
SAT Score:
ACT Score:
Name of High School Principal:
Signature:
Name of Guidance Counselor:
Signature:
Course of Study in High School: General Preparatory Date of Graduation:
General /
Business
Technical
/
Are you presently applying for admission to a College/University? YES or NO (circle one) If yes, Where?
Have you been accepted? Describe course of study or Curriculum desired:
Please list three (3) references you would allow us to contact in regard to your grant application: Name
Address
Ph#
Position/Title
Yrs Known
1. 2. 3. Please attach a complete academic summary, official school transcripts and any other materials which you would want the committee to consider with your grant application. Materials will not be returned.
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Employer Recommendation Applicant’s Name: Supervisor Number of hours per day applicant is working/has worked under your supervision Describe his/her duties
Please evaluate the applicant in the following areas with the following scale. Excellent = 1 1. 2. 3. 4. 5. 6.
Above Average = 2
Average = 3
Self Motivation Cooperation Dependability Ability to work with others Leadership potential Responsibility
Below Average = 4
6. Work Ethic 7. Initiative 8. Completes projects fully, properly and in a timely manner 9. Responsibility 10. Honesty
Remarks
I would/would not (circle one) hire applicant again Signature Business Name Address Phone Number
Title
Date
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Personal Recommendation Applicant’s Name: Your Name:
Address:
Phone # How long have you known the applicant? How did you meet him/her?
Have you worked with him/her in any capacity; such as Scouts, Church, Yard/Snow, Babysitting, ETC.? Yes No (circle one). Explain if yes:
Please evaluate the applicant in the following areas with the following scale. Excellent = 1 1. 2. 3. 4. 5. 6.
Above Average = 2
Self Motivation Creativity Cooperation Dependability Responsibility Family Relationships
Average = 3
7. Honesty 8. Loyalty 9. Getting along with others 10. Leadership potential 11. Work Ethic 12. Attitude
Remarks
Signature
Below Average = 4
Date
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Instructor Recommendation Applicant’s Name: Instructor’s Name:
School:
Phone #
Course(s)
Grade Level
# Of Hours per day
Ranking in class (scale of 1-10) Please evaluate the applicant in the following areas with the following scale. Excellent = 1 1. 2. 3. 4. 5. 6. 7. 8.
Above Average = 2
Self Motivation Scholastic Achievement Creativity Cooperation Dependability Responsibility Attitude Initiative
Average = 3
9. Extracurricular involvement 10. Work Ethic 11. Getting along with others 12. Leadership potential 13. Honesty 14. Completes assignments fully, properly and on time
Remarks
Signature
Below Average = 4
Date
